Biomarker and Genetic Predictors of Erenumab Treatment Response (INTERROGATE)
Primary Purpose
Migraine
Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Erenumab
Sponsored by
About this trial
This is an interventional treatment trial for Migraine focused on measuring Episodic and Chronic Migraine, Link between clinical response and biomarker, Phase 4
Eligibility Criteria
Inclusion Criteria:
- Subject has provided informed consent prior to initiation of any study-specific activities/procedures
- Age greater than or equal to 18 years upon entry into screening
- History of migraine (with or without aura) for greater than or equal to 12 months before screening according to the International Headache Society (IHS) Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2018) based on medical records and/or patient self report
- Greater than or equal to 4 headache days that meet criteria as migraine days per month on average across the 3 months before screening After baseline period
- Must have demonstrated greater than or equal to 75% compliance in eDiary usage during baseline period
Exclusion Criteria:
Subjects are excluded from the study if any of the following criteria apply:
Disease Related
- Greater than 50 years of age at migraine onset
- History of cluster headache or hemiplegic migraine headache
- Inability to differentiate between migraine from other headaches. Other Medical Conditions
- The subject is at risk of self-harm or harm to others as evidenced by past suicidal behaviour
- History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.
Prior/Concomitant Therapy
- Previously received erenumab (Aimovig®)
- Received an anti-CGRP monoclonal antibody within 3 months prior to the start of the baseline period
- Initiation, discontinuation, or change of dosing of migraine prophylactic medications within 2 months prior to the start of the baseline period, during the baseline period or planned during the study.
Prior/Concurrent Clinical Study Experience
• Currently receiving treatment in another investigational device or drug study, or less than 30 days or 5 half-lives since ending treatment on another investigational device or drug study (ies). Other investigational procedures while participating in this study are excluded.
Other Exclusions
- Female subjects of childbearing potential with a positive pregnancy test assessed at screening or day 1 by a urine pregnancy test
- Female subject is pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment and for an additional 16 weeks after the last dose of investigational product
- Female subjects of childbearing potential unwilling to use 1 acceptable method of effective contraception during treatment and for an additional 16 weeks after the last dose of investigational product
- Evidence of current pregnancy or breastfeeding per subject self-report or medical records
- Subject has known sensitivity to any of the products or components to be administered during dosing
- Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (e.g, Clinical Outcome Assessments) to the best of the subject and investigator's knowledge
Sites / Locations
- Glostrup Hospital
- Thjonustumidstod Rannsoknaverkefna
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Single arm
Arm Description
Erenumab packed in a SureClick® Autoinjector Pen (AI)
Outcomes
Primary Outcome Measures
Achievement of at least a 50% reduction from baseline in mean monthly migraine days (MMD) in relation to each individual genome-wide significant single-nucleotide polymorphism (SNP) contributing to the migraine polygenic risk score (mPRS)
To explore the relationship between clinical response to erenumab and genetic biomarkers
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04265755
Brief Title
Biomarker and Genetic Predictors of Erenumab Treatment Response
Acronym
INTERROGATE
Official Title
Biomarker and Genetic Predictors of Erenumab Treatment Response, a Phase 4 Investigational Open-label Study (INTERROGATE)
Study Type
Interventional
2. Study Status
Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
October 26, 2020 (Actual)
Primary Completion Date
January 18, 2023 (Actual)
Study Completion Date
January 18, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amgen
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
To explore the relationship between clinical response to erenumab and genetic biomarkers
Detailed Description
This is a phase 4 open-label study aiming to explore the relationship between clinical response to erenumab and genetic biomarkers.
Subjects with episodic or chronic migraine will be treated with Erenumab 70mg or 140mg for a 4-week baseline/screening period, followed by a 24-week treatment period.
Subjects will collect migraine-related parameters daily using an eDiary and blood samples will be collected for biomarker research. All analysis will be descriptive in nature.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Episodic and Chronic Migraine, Link between clinical response and biomarker, Phase 4
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1406 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Single arm
Arm Type
Experimental
Arm Description
Erenumab packed in a SureClick® Autoinjector Pen (AI)
Intervention Type
Drug
Intervention Name(s)
Erenumab
Intervention Description
Erenumab 70 mg or 140 mg packed in a SureClick® Autoinjector Pen (AI)
Primary Outcome Measure Information:
Title
Achievement of at least a 50% reduction from baseline in mean monthly migraine days (MMD) in relation to each individual genome-wide significant single-nucleotide polymorphism (SNP) contributing to the migraine polygenic risk score (mPRS)
Description
To explore the relationship between clinical response to erenumab and genetic biomarkers
Time Frame
From baseline over months 4, 5, and 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject has provided informed consent prior to initiation of any study-specific activities/procedures
Age greater than or equal to 18 years upon entry into screening
History of migraine (with or without aura) for greater than or equal to 12 months before screening according to the International Headache Society (IHS) Classification ICHD-3 (Headache Classification Committee of the International Headache Society, 2018) based on medical records and/or patient self report
Greater than or equal to 4 headache days that meet criteria as migraine days per month on average across the 3 months before screening After baseline period
Must have demonstrated greater than or equal to 75% compliance in eDiary usage during baseline period
Exclusion Criteria:
Subjects are excluded from the study if any of the following criteria apply:
Disease Related
Greater than 50 years of age at migraine onset
History of cluster headache or hemiplegic migraine headache
Inability to differentiate between migraine from other headaches. Other Medical Conditions
The subject is at risk of self-harm or harm to others as evidenced by past suicidal behaviour
History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.
Prior/Concomitant Therapy
Previously received erenumab (Aimovig®)
Received an anti-CGRP monoclonal antibody within 3 months prior to the start of the baseline period
Initiation, discontinuation, or change of dosing of migraine prophylactic medications within 2 months prior to the start of the baseline period, during the baseline period or planned during the study.
Prior/Concurrent Clinical Study Experience
• Currently receiving treatment in another investigational device or drug study, or less than 30 days or 5 half-lives since ending treatment on another investigational device or drug study (ies). Other investigational procedures while participating in this study are excluded.
Other Exclusions
Female subjects of childbearing potential with a positive pregnancy test assessed at screening or day 1 by a urine pregnancy test
Female subject is pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment and for an additional 16 weeks after the last dose of investigational product
Female subjects of childbearing potential unwilling to use 1 acceptable method of effective contraception during treatment and for an additional 16 weeks after the last dose of investigational product
Evidence of current pregnancy or breastfeeding per subject self-report or medical records
Subject has known sensitivity to any of the products or components to be administered during dosing
Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (e.g, Clinical Outcome Assessments) to the best of the subject and investigator's knowledge
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
Glostrup Hospital
City
Glostrup
ZIP/Postal Code
2600
Country
Denmark
Facility Name
Thjonustumidstod Rannsoknaverkefna
City
Reykjavik
ZIP/Postal Code
101
Country
Iceland
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
There is not a plan to make IPD available
Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website
Learn more about this trial
Biomarker and Genetic Predictors of Erenumab Treatment Response
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